PHILLIP HELMBRIGHT, D.O.
General Practice Physician · SAYRE, PA
Individual Active NPI 1538588678
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 540 | 1,856 | $160,650 | $139,643 | $109,905 |
| 2023 | 350 | 970 | $96,576 | $81,949 | $61,127 |
| 2022 | 28 | 67 | $5,346 | $4,017 | $3,039 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 1,075 | $70 | $55 |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 299 | $81 | $64 |
| 99437 | Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month | 294 | $57 | $45 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 165 | $126 | $99 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 20 | $102 | $81 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | OS020425 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.